| NPI | 1306190111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA C AUBREY Manager 214-636-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16272) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |